2006, Number 3
<< Back Next >>
Rev Enferm IMSS 2006; 14 (3)
Impact of an educational strategy in the measurement of blood pressure by whitening in infants
Salinas-Peñaloza P, Labastida-Apodaca DM, López-García I, Rodríguez-Monroy J, Castañeda-Muciño G, González-Cabello H
Language: Spanish
References: 23
Page: 123-130
PDF size: 132.74 Kb.
ABSTRACT
Introduction: Measuring blood pressure, by whitening technique, demonstrates usefulness and accuracy in newborn and infant patients. Medical literature reports limitations in the knowledge of the adequacy of measurement.
Objective: To measure the impact of an educational strategy in nursing staff within an infant service regarding measurement of blood pressure by whitening technique.
Methodology: Cuasi-experimental study in 20 nurses from an infant service, chose them by no randomized sampling, by convenience; 3 nurses were excluded, as they did not conclude the three phases of the process. The study was divided on 3 phases. The first one was a shadow study to know the way in which nurses measured blood pressure by whitening, using a scale. During the second one, an educational strategy was applied making emphasis in the number and sequence of steps to measure arterial blood pressure. The third phase of the study was, also, a shadow study applying the scale in the same staff.
Results: 100% of staff did not comply with number and sequence of the technique to measure the blood pressure by whitening, thereafter to educational strategy. From 7 needed steps to do the technique, the second, seventh, and sixth steps were corrected; the last one with statistic significance.
Discussion: With the educational strategy, it was concluded that either omission or modification of steps in the measurement of blood pressure by whitening, leads to obtain imprecise determinations; however, it was not observed any change in the way to measure blood pressure. With this result, it may be told that the educational strategy had a low impact y may be attributed to resistance of changing. For this reason, it is necessary to implement other strategies that develop critical thinking and reflexive attitude in the praxis.
REFERENCES
Guyton A. Panorámica de la circulación; física médica de la presión, el flujo y la resistencia en: Guyton A. Tratado de Fisiología Médica. México10ª ed. Mac Graw-Hill 2001. p 175-190.
Hamilton HK. Cuidado hospitalario en niños en: Hamilton HK. Procedimientos de Enfermería. México 5a ed. Interamericana McGraw-Hill 1986. p 196-201.
Barness LA. The pediatric history and physical examination en: Oski FA, DeAngelis CD, Feigin RD, McMillan JA, Warshaw JB. Principles and practice of Pediatrics. Philadelphia 2ra ed. Hlippincott company 1994. p 32-35.
Graniel GJ. Tensión arterial en recién nacidos. Rev Med Ped 1986; 53:105-107.
Wong D L. Promoción de la salud del recién nacido y la familia en: Wong DL. Enfermería Pediátrica. España 4ed Mosby Doyma 1995. p159-160.
Anderson FD, Maloney JP. Es posible que determine la presión arterial varias veces al día, ¿pero son exactas las lecturas? Nursing 1995; 13 (2): 11-15.
Rice KL. Medición de la presión arterial en el muslo. Nursing 2000; 18 (1): 32-33.
Salas-Rodríguez L, Martínez-Cruz CF, Fernández-Carrocera LA. Valores de tensión arterial en recién nacidos sanos durante sus primeras horas de vida. Hosp Infant Mex 2002; 59: 89-96.
9. Steinfeld L, Dimich I, Reder R, Cohen M, Alexander H. Sphygmomanometry in the pediatric patient. J Pediatrics 1978; 92(6): 934-38.
Moss AJ, Lieebling W, Austin WO, Adams FH. An evaluation of the flush method for determining blood pressures in infants. Pediatrics 1957; Jul: 53-62.
Park MK, Menard SM. Accurancy of Blood Pressure measurement by the dinamap Monitor in Infants and children. Pediatrics 1987; 79: 907-14.
Moss AJ, Liebling W, Austin WO, Adams FH. An evaluation of the Flush Method for Determining Blood Pressures in Infants. Pediatics 1957; 20: 53-62.
Moss AJ, Adams FH. Flush Blood Pressure and intra-arterial pressure. Am J Dis Child 1964; 107: 489-491.
Jasso-Gutiérrez, Rosquillas-Navarro. La tensión arterial por blanqueamiento en el síndrome de dificultad respiratoria Rev Med IMSS 1983; 21(4): 299-302.
Park MK, Lee Da-Hae. Normative Arm and calf bloos pressure values in the newborn. Paediatrics 1989;83: 240-43.
Rendón MM, Montes de Oca MJ, Palmas FM, Sánchez GL, Velázquez RG. Presión arterial por blanqueamiento. Medición en lactantes por personal de enfermería. Rev Med IMSS 2000; 38 (5): 387.
Bartolomé A. 1989. Concepción de la Tecnología Educativa a finales de los ochenta. Biblioteca Virtual de Tecnología educativa de la universidad de Barcelona. www.doe.ub.es/te.
Díaz Barriga AF, Hernández RG. Estrategias docentes para un aprendizaje significativo, una interpretación constructivista. 2ª edición. Mc Graw Hill, México 2002. pp 430.
Vázquez D, Viniegra VL. La capacidad de crítica de los estudiantes de medicina ante el quehacer médico. Educ Med Salud 1994; 28: 249-61.
Leyva GF, Viniegra VL. Lectura crítica en médicos residentes de las especialidades troncales. Rev Invest Clin 1999; 51:31-8.
Viniegra VL, Espinoza AP. Lectura crítica en grupos escogidos de estudiantes de medicina. Rev Invest Clin 1994; 46: 407-15.
Viniegra-Velázquez L. El camino de la crítica y la educación. Rev Invest Clin 1996; 48:139-58.
Manfredi M. Instituciones formadoras en el desarrollo de nuevos modelos de atención. En: Pacheco Sociedad Salud y Enfermería. Ed. UNAM. México 2003.